Individual
ZOIE LEEANN BLEAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4444 S 700 E, SALT LAKE CITY, UT 84107-3075
(801) 268-4887
Mailing address
4444 S 700 E, SALT LAKE CITY, UT 84107-3075
Taxonomy
Speciality
Code
Description
License number
State
225500000X
Respiratory/Developmental/Rehabilitative Specialist/Technologist
Primary
—
—
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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